Chalazion: Symptoms, Treatment, and When to Seek Help

Q: Chalazion: Symptoms, Treatment, and When to Seek Help

Hello： Based on your description of symptoms, this may be a localized inflammatory response caused by a stye. <br>A stye is typically due to the blockage of oil glands in the eye, which can lead to symptoms such as localized swelling, pain, redness, and a sensation of pressure in

There is a lump between the inner corner of the eye and the bridge of the nose?

Hello Doctor, recently I have noticed a swelling between the inner corner of my left eye and the bridge of my nose.
I feel pressure when I blink.
I visited an ophthalmologist who diagnosed it as a chalazion and prescribed eye drops and ointment.
However, on the second day of use, I found that the swelling had increased.
I continued using the eye drops and ointment for three more days; although the size of the swelling did not increase further, it also did not decrease.
The pressure sensation when blinking has disappeared, but for the last two days, my eyes have been very itchy when applying the drops and ointment.
I would like to know what this condition is, and whether I should return for a follow-up appointment immediately, or wait until I finish the medication before reassessing?

Mr. Huang, 30~39 year old female. Ask Date: 2023/04/13

Dr. Gao Pilin reply Ophthalmology

Hello: Based on your description of symptoms, this may be a localized inflammatory response caused by a stye.
A stye is typically due to the blockage of oil glands in the eye, which can lead to symptoms such as localized swelling, pain, redness, and a sensation of pressure in the eye.
The eye drops and ointments prescribed by your ophthalmologist are usually intended to reduce inflammation and alleviate symptoms.
However, since you have noticed that the swelling has increased and your eye is itchy during the three days of using the eye drops and ointment, it is advisable to return for a follow-up appointment and inform your doctor about the changes in your symptoms for a more detailed examination and assessment.
Changes in eye symptoms may indicate disease progression or an adverse reaction to the medication, so it is crucial to receive a timely diagnosis and treatment from your physician.
However, the disappearance of the pressure sensation when blinking suggests that your condition may be improving.
Before your follow-up appointment, you can continue using the eye drops and ointment, but you should avoid rubbing your eyes, touching your eyes with your hands, and maintain cleanliness and hygiene around the eye area to reduce the risk of infection.

Reply Date: 2023/04/13

More Info

A chalazion, often confused with a stye (or hordeolum), is a common eyelid condition that arises from the blockage of a meibomian gland, which is responsible for producing the oily layer of tears. This blockage leads to the accumulation of oil, resulting in a firm, painless lump on the eyelid. In contrast, a stye is typically painful and caused by an infection of the hair follicle at the base of an eyelash.

Symptoms of Chalazion:
1. Swelling: A noticeable lump on the eyelid, which may vary in size.

2. Pressure Sensation: As you described, there may be a feeling of pressure, especially when blinking.

3. Redness: The area around the chalazion may appear red or inflamed.

4. Itching or Irritation: Some patients report itching or irritation, particularly if the chalazion is large or if there is associated conjunctivitis.

5. Vision Changes: In rare cases, if the chalazion is large enough, it can press against the eyeball and cause blurred vision.

Treatment Options:
1. Warm Compresses: Applying a warm compress to the affected area for 10-15 minutes several times a day can help to soften the hardened oil and promote drainage.

2. Topical Medications: As prescribed by your ophthalmologist, antibiotic eye drops or ointments may be used if there is a secondary infection.

3. Steroid Injections: In some cases, a corticosteroid injection may be administered to reduce inflammation and promote healing.

4. Surgical Intervention: If the chalazion persists despite conservative treatment, surgical drainage may be necessary. This is typically a minor procedure performed in an outpatient setting.

When to Seek Help:
Given your situation, it is advisable to follow up with your ophthalmologist, especially since you have experienced an increase in swelling and itching after using the prescribed medications. While it is common for chalazia to take time to resolve, any significant changes in size, increased discomfort, or the development of new symptoms warrant a reevaluation.

Additional Considerations:
- Allergic Reactions: The itching you experienced could indicate an allergic reaction to the eye drops or ointments. It is important to inform your doctor about this symptom, as they may need to adjust your treatment plan.

- Self-Care: In addition to following your doctor's advice, maintaining good eyelid hygiene can help prevent future occurrences. This includes gently cleaning the eyelids with mild soap and water or using eyelid scrubs.

- Underlying Conditions: If you have a history of recurrent chalazia, it may be worth discussing with your doctor whether there are underlying conditions, such as blepharitis or skin conditions, that need to be addressed.

In summary, while chalazia can often be managed with conservative measures, your current symptoms suggest that a follow-up appointment is warranted. Your ophthalmologist can provide a thorough examination and determine the best course of action to alleviate your symptoms and prevent further complications.

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